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Imaging of Patients with Suspected Large-Vessel Occlusion at Primary Stroke Centers: Available Modalities and a Suggested Approach
Journal article   Open access   Peer reviewed

Imaging of Patients with Suspected Large-Vessel Occlusion at Primary Stroke Centers: Available Modalities and a Suggested Approach

M A Almekhlafi, W G Kunz, B K Menon, R A McTaggart, M V Jayaraman, B W Baxter, D Heck, D Frei, C P Derdeyn, T Takagi, …
American journal of neuroradiology : AJNR, Vol.40(3), pp.396-400
03/2019
DOI: 10.3174/ajnr.A5971
PMID: 30705072
url
https://doi.org/10.3174/ajnr.A5971View
Published (Version of record) Open Access

Abstract

The overwhelming benefit of endovascular therapy in patients with large-vessel occlusions suggests that more patients will be screened than treated. Some of those patients will be evaluated first at primary stroke centers; this type of evaluation calls for standardizing the imaging approach to minimize delays in assessing, transferring, and treating these patients. Here, we propose that CT angiography (performed at the same time as head CT) should be the minimum imaging approach for all patients with stroke with suspected large-vessel occlusion presenting to primary stroke centers. We discuss some of the implications of this approach and how to facilitate them.
Neuroimaging - methods Stroke - diagnostic imaging Time-to-Treatment Hospital Units - organization & administration Humans Middle Aged Endovascular Procedures Male Tomography, X-Ray Computed Workflow Computed Tomography Angiography - methods Hospital Units - standards Female Aged Patient Transfer Stroke - therapy Neuroimaging - standards

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